Historic tobacco legislation in Israel: a moment to celebrate

Rosen, Laura; Kislev, Shira; Bar‐Zeev, Yael; Levine, Hagai

doi:10.1186/s13584-020-00384-3

Cited by 16 publications

(17 citation statements)

References 12 publications

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“…A recent (2019) major regulatory change occurred in Israel (as a result of legislation a year prior), in which taxation on factory-made cigarettes and roll-your-own were equalized [25]; this occurred after the study period (2002)(2003)(2004)(2005)(2006)(2007)(2008)(2009)(2010)(2011)(2012)(2013)(2014)(2015)(2016)(2017). Please note that during the study period a number of tobacco control policy changes took place, which have been described in detail elsewhere [10].…”

Section: Discussionmentioning

confidence: 99%

Cigarette Prices and Smoking Behavior in Israel: Findings from a National Study of Adults (2002–2017)

Shuval

Stokłosa

Nargis

et al. 2021

IJERPH

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Tobacco taxation and price policies are considered the most effective for lowering demand for tobacco products. While this statement is based on research from numerous countries, scant evidence exists on this topic for Israel. Accordingly, we assessed the association between cigarette prices and smoking prevalence and intensity from a national sample of adults in Israel (2002–2017). Data on smoking behavior were derived from the Israeli Knowledge Attitudes and Practices (KAP) survey, a repeated cross-sectional survey. Price information is from the Economist Intelligence Unit (EIU) since it was not collected in the KAP survey. We used the price of a pack of 20 cigarettes for Marlboro and the local brand. These two price variables were the primary independent variables, and we adjusted for inflation. The dependent variables were current smoking (yes/no) and smoking intensity, defined as the number of cigarettes smoked per week. Multivariable analysis was employed using a two-part model while adjusting for covariates. The first step of the model utilized logistic regression with current smoking as the dependent variable. The second step examining smoking intensity as the dependent variable, used OLS regression. Price elasticity was estimated as well. Analysis revealed that a one-unit increase (Israeli currency) in the price of local brand of cigarettes was related to 2.0% (OR = 0.98; 95%CI 0.98, 0.99) lower odds of being a current smoker, adjusting for covariates including household income. Moreover, a one unit increase in the price of the local brand of cigarettes was related to consuming 1.49 (95% CI −1.97, −1.00) fewer weekly cigarettes, controlling for household income and covariates. Similar results were found with the Marlboro cigarette prices. The total price elasticity of cigarette demand, given by the sum of price elasticities of smoking prevalence and intensity, showed that a 10.0% increase in the price is associated with a 4.6–9.2% lower cigarette consumption among Israeli adults. Thus, increasing cigarette prices will likely lead to a reduction in cigarette smoking thereby improving public health in Israel.

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Section: Discussionmentioning

confidence: 99%

Cigarette Prices and Smoking Behavior in Israel: Findings from a National Study of Adults (2002–2017)

Shuval

Stokłosa

Nargis

et al. 2021

IJERPH

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“…22 Just as cigarettes with descriptors such as natural or organic are associated with reduced harm [23][24][25][26][27] the same may be true for rolling papers using these terms and, as such, regulators may feel it beneficial to ban these on RYO papers, as they have done on RYO packs across much of Europe, as a result of the Tobacco Products Directive. 28 Plain papers, which are required in Canada and Israel, [15][16][17] were not thought to impact on purchasing or smoking behaviour but may reduce appeal to young people as brands would not stand out, and would prevent innovation and product development, 15 which is predicted to stimulate increased demand for RYO. 29…”

Section: Discussionmentioning

confidence: 99%

“…7,[12][13][14] Canada and Israel became the first countries to require plain packaging for rolling papers. [15][16][17] In the UK, while plain packaging is mandatory for cigarettes and RYO, the latter used by approximately two-fifths of smokers, 5,7 the legislation does not cover rolling papers.…”

Section: Introductionmentioning

confidence: 99%

‘I’m killing myself, but I’m saving the planet’: rolling tobacco smokers’ perceptions of rolling papers

Moodie

O’Donnell

2020

Tob Control

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IntroductionDespite the global growth of rolling tobacco, we are unaware of any research that has explored smokers’ perceptions of the types of rolling papers available, or plain rolling papers, which are now required in Canada and Israel.MethodsEight focus groups were conducted with rolling tobacco smokers (n=50) in Greater Glasgow (Scotland) between February and March 2020. Participants were shown a number of packs of promotional rolling papers (natural, transparent, prerolled cones, flavoured) and plain rolling papers.ResultsRolling papers were often viewed as functional, a necessity for making roll-ups. The appeal of papers was based on the packaging, with a booklet-style pack of natural papers viewed very positively, as well as novelty, usability and taste/smell. Participants often associated papers with particular users, with prerolled cones and some flavoured papers thought to be used by cannabis smokers or younger people and those just starting to smoke. In terms of harm perceptions, natural papers were viewed as a healthier choice than standard papers and more environmentally friendly, whereas transparent papers raised concerns about safety to both the user and the environment. Participants were generally ambivalent towards plain papers, which they did not feel would alter their purchasing or smoking behaviour, although some felt they may be less appealing to youth as the branding would be diminished.ConclusionsThe panoply of rolling papers available offers consumers considerable choice. As some promotional papers can increase appeal or create misperceptions of harm then standardising papers would help to counter this.

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“…While most efforts in Israel's tobacco control landscape have focused in recent years on taxation of tobacco products, smoke-free laws in public places (including schools), and most recently plain packaging and withdrawal of point-of-sale displays [18], exposure of children to tobacco smoke in the home sphere is not subject to regulation. The current study used interviews with smoking parents to address this sensitive issue, to improve understanding of parental smoking around the home.…”

Section: Discussionmentioning

confidence: 99%

“I can’t stand it…but I do it sometimes” parental smoking around children: practices, beliefs, and conflicts – a qualitative study

et al. 2020

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Background Many parents continue to smoke around their children despite the widely known risks of children’s exposure to tobacco smoke. We sought to learn about parental smoking behavior around children from parents’ perspective. Methods Semi-structured interviews were conducted with 65 smoking parents or partners of smoking parents of children up to age 7, to learn about home smoking rules, behaviours performed to try to protect children, and smoking-related conflicts, from parents’ perspective. Interviews were recorded and transcribed and thematic analysis performed. Recruitment was challenging due to the sensitive nature of the topic. Results Many parents described smoking around their children in certain areas of the home, outdoors, and in what they consider to be open or ventilated areas. Participants emphasized efforts to protect their children and described various mitigating practices but held mixed views as to their effectiveness. Parents had different conceptions of which areas or distances were considered ‘safe’. Many smoking parents described conflicts both internal and with other family members regarding the protection of children. Some parents who continue to smoke around their children despite understanding the health risks felt powerless to effect change, as well as being uncertain as to the effectiveness of their protective strategies; others were aware but reluctant to change. Conclusion Findings shed light on some of the difficulties faced by smoking parents and obstacles to maintaining a smoke-free environment for their children, providing insight for the type of information and support required to help parents better protect their children from exposure to tobacco smoke. Awareness of health risks associated with secondhand smoke was demonstrated, yet parents in smoking families were confused regarding which rules and behaviours best protect children from exposure to tobacco smoke. Parents were sometimes aware that their smoking ‘rules’ and mitigating practices were limited in their effectiveness. Guidelines should be provided explaining how and when exposure occurs and how to keep children safe.

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Historic tobacco legislation in Israel: a moment to celebrate

Cited by 16 publications

References 12 publications

Cigarette Prices and Smoking Behavior in Israel: Findings from a National Study of Adults (2002–2017)

Cigarette Prices and Smoking Behavior in Israel: Findings from a National Study of Adults (2002–2017)

‘I’m killing myself, but I’m saving the planet’: rolling tobacco smokers’ perceptions of rolling papers

“I can’t stand it…but I do it sometimes” parental smoking around children: practices, beliefs, and conflicts – a qualitative study

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